Advanced Health Assessment and Diagnostic
Reasoning,
4th Edition by Rhoads
All Chapters 1-18
TEST BANK
,TABLE OF CONTENT
Chapter 1 Interview and History-Taking Strategies
Chapter 2 Physical Examination Strategies
Chapter 3 Documentation Strategies
Chapter 4 Cultural and Spiritual Assessment
Chapter 5 Nutritional Assessment
Chapter 6 Mental Health Disorders
Chapter 7 Integumentary Disorders
Chapter 8 Eye Disorders
Chapter 9 Ear Disorders
Chapter 10 Nose, Sinus, Mouth, and Throat Disorders
Chapter 11 Respiratory Disorders
Chapter 12 Cardiovascular Disorders
Chapter 13 Endocrine Disorders
Chapter 14 Gastrointestinal Disorders
Chapter 15 Neurological Disorders
Chapter 16 Male Genitourinary Disorders
Chapter 17 Female Genitourinary and Breast Disorders
Chapter 18 Musculoskeletal Disorder
,Chapter 1 Interview and History Taking Strategies
MULTIPLE CHOICE
1. The nurse is conducting an interview with a woman who has recently learned that
she is pregnant and who has come to the clinic today to begin prenatal care. The
woman states that she and her husband are excited about the pregnancy but have a
few questions. She looks nervously at her hands during the interview and sighs
loudly. Considering the concept of communication, which statement does the nurse
know to be most accurate? The woman is:
a. Excited about her pregnancy but nervous about the labor.
b. Exhibiting verbal and nonverbal behaviors that do not match.
c. Excited about her pregnancy, but her husband is not and this is
upsetting to her. d.
Not excited about her pregnancy but believes the nurse will
negatively respond to her if she states this.
ANS: B
Communication is all behaviors, conscious and unconscious, verbal and nonverbal.
All behaviors have meaning. Her behavior does not imply that she is nervous about
labor, upset by her husband, or worried about the nurses response.
2. Receiving is a part of the communication process. Which receiver is
most likely to misinterpret a message sent by a health care professional?
a. Well-adjusted adolescent who came in for a sports physical
b. Recovering alcoholic who came in for a basic physical examination
c. Man whose wife has just been diagnosed with lung
cancer d.
Man with a hearing impairment who uses sign language to communicate and who
has an interpreter with him
ANS: C
The receiver attaches meaning determined by his or her experiences, culture, self-
concept, and current physical and emotional states. The man whose wife has just
been diagnosed with lung cancer may be experiencing emotions that affect his
receiving.
3. The nurse makes which adjustment in the physical environment to promote the
success of an interview?
a. Reduces noise by turning off televisions and radios
b. Reduces the distance between the interviewer and the patient to 2 feet or less
c. Provides a dim light that makes the room cozy and helps the patient relax
d. Arranges seating across a desk or table to allow the patient some
personal space
ANS: A
The nurse should reduce noise by turning off the television, radio, and other
unnecessary equipment, because multiple stimuli are confusing. The interviewer
and patient should be approximately 4 to 5 feet apart; the room should be well-lit,
enabling the interviewer and patient to see each other clearly. Having a table or
desk in between the two people creates the idea of a barrier; equal-status seating,
at eye level, is better.
, 4. In an interview, the nurse may find it necessary to take notes to aid his or her
memory later. Which statement is trueregarding note-taking?
a. Note-taking may impede the nurses observation of the patients
nonverbal behaviors. b.
Note-taking allows the patient to continue at his or her own pace as
the nurse records what is said.
c.
Note-taking allows the nurse to shift attention away from the patient,
resulting in an increased comfort level.
d.
Note-taking allows the nurse to break eye contact with the patient,
which may increase his or her level of comfort.
ANS: A
The use of history forms and note-taking may be unavoidable. However, the nurse
must be aware that note-taking during the interview has disadvantages. It breaks
eye contact too often and shifts the attention away from the patient, which diminishes
his or her sense of importance. Notetaking may also interrupt the patients narrative
flow, and it impedes the observation of the
patients nonverbal behavior.
5. The nurse asks, I would like to ask you some questions about your health and your
usual daily activities so that we can better plan your stay here. This question is
found at the
phase of the interview process.
a. Summary
b. Closing
c. Body
d. Opening or
introduction
ANS: D
When gathering a complete history, the nurse should give the reason for the
interview during the opening or introduction phase of the interview, not during or at
the end of the interview.
6. A woman has just entered the emergency department after being battered by her
husband. The nurse needs to get some information from her to begin treatment.
What is the best choice for an opening phase of the interview with this patient?
a. Hello, Nancy, my name is Mrs. C.
b. Hello, Mrs. H., my name is Mrs. C. It sure is cold today!
c. Mrs. H., my name is Mrs. C. How are you?
d. Mrs. H., my name is Mrs. C. Ill need to ask you a few questions about what
happened.
ANS: D
Address the person by using his or her surname. The nurse should introduce him or
herself and give the reason for the interview. Friendly small talk is not needed to
build rapport.
7. During an interview, the nurse states, You mentioned having shortness of
breath. Tell me more about that. Which verbal skill is used with this statement?
a. Reflection
Reasoning,
4th Edition by Rhoads
All Chapters 1-18
TEST BANK
,TABLE OF CONTENT
Chapter 1 Interview and History-Taking Strategies
Chapter 2 Physical Examination Strategies
Chapter 3 Documentation Strategies
Chapter 4 Cultural and Spiritual Assessment
Chapter 5 Nutritional Assessment
Chapter 6 Mental Health Disorders
Chapter 7 Integumentary Disorders
Chapter 8 Eye Disorders
Chapter 9 Ear Disorders
Chapter 10 Nose, Sinus, Mouth, and Throat Disorders
Chapter 11 Respiratory Disorders
Chapter 12 Cardiovascular Disorders
Chapter 13 Endocrine Disorders
Chapter 14 Gastrointestinal Disorders
Chapter 15 Neurological Disorders
Chapter 16 Male Genitourinary Disorders
Chapter 17 Female Genitourinary and Breast Disorders
Chapter 18 Musculoskeletal Disorder
,Chapter 1 Interview and History Taking Strategies
MULTIPLE CHOICE
1. The nurse is conducting an interview with a woman who has recently learned that
she is pregnant and who has come to the clinic today to begin prenatal care. The
woman states that she and her husband are excited about the pregnancy but have a
few questions. She looks nervously at her hands during the interview and sighs
loudly. Considering the concept of communication, which statement does the nurse
know to be most accurate? The woman is:
a. Excited about her pregnancy but nervous about the labor.
b. Exhibiting verbal and nonverbal behaviors that do not match.
c. Excited about her pregnancy, but her husband is not and this is
upsetting to her. d.
Not excited about her pregnancy but believes the nurse will
negatively respond to her if she states this.
ANS: B
Communication is all behaviors, conscious and unconscious, verbal and nonverbal.
All behaviors have meaning. Her behavior does not imply that she is nervous about
labor, upset by her husband, or worried about the nurses response.
2. Receiving is a part of the communication process. Which receiver is
most likely to misinterpret a message sent by a health care professional?
a. Well-adjusted adolescent who came in for a sports physical
b. Recovering alcoholic who came in for a basic physical examination
c. Man whose wife has just been diagnosed with lung
cancer d.
Man with a hearing impairment who uses sign language to communicate and who
has an interpreter with him
ANS: C
The receiver attaches meaning determined by his or her experiences, culture, self-
concept, and current physical and emotional states. The man whose wife has just
been diagnosed with lung cancer may be experiencing emotions that affect his
receiving.
3. The nurse makes which adjustment in the physical environment to promote the
success of an interview?
a. Reduces noise by turning off televisions and radios
b. Reduces the distance between the interviewer and the patient to 2 feet or less
c. Provides a dim light that makes the room cozy and helps the patient relax
d. Arranges seating across a desk or table to allow the patient some
personal space
ANS: A
The nurse should reduce noise by turning off the television, radio, and other
unnecessary equipment, because multiple stimuli are confusing. The interviewer
and patient should be approximately 4 to 5 feet apart; the room should be well-lit,
enabling the interviewer and patient to see each other clearly. Having a table or
desk in between the two people creates the idea of a barrier; equal-status seating,
at eye level, is better.
, 4. In an interview, the nurse may find it necessary to take notes to aid his or her
memory later. Which statement is trueregarding note-taking?
a. Note-taking may impede the nurses observation of the patients
nonverbal behaviors. b.
Note-taking allows the patient to continue at his or her own pace as
the nurse records what is said.
c.
Note-taking allows the nurse to shift attention away from the patient,
resulting in an increased comfort level.
d.
Note-taking allows the nurse to break eye contact with the patient,
which may increase his or her level of comfort.
ANS: A
The use of history forms and note-taking may be unavoidable. However, the nurse
must be aware that note-taking during the interview has disadvantages. It breaks
eye contact too often and shifts the attention away from the patient, which diminishes
his or her sense of importance. Notetaking may also interrupt the patients narrative
flow, and it impedes the observation of the
patients nonverbal behavior.
5. The nurse asks, I would like to ask you some questions about your health and your
usual daily activities so that we can better plan your stay here. This question is
found at the
phase of the interview process.
a. Summary
b. Closing
c. Body
d. Opening or
introduction
ANS: D
When gathering a complete history, the nurse should give the reason for the
interview during the opening or introduction phase of the interview, not during or at
the end of the interview.
6. A woman has just entered the emergency department after being battered by her
husband. The nurse needs to get some information from her to begin treatment.
What is the best choice for an opening phase of the interview with this patient?
a. Hello, Nancy, my name is Mrs. C.
b. Hello, Mrs. H., my name is Mrs. C. It sure is cold today!
c. Mrs. H., my name is Mrs. C. How are you?
d. Mrs. H., my name is Mrs. C. Ill need to ask you a few questions about what
happened.
ANS: D
Address the person by using his or her surname. The nurse should introduce him or
herself and give the reason for the interview. Friendly small talk is not needed to
build rapport.
7. During an interview, the nurse states, You mentioned having shortness of
breath. Tell me more about that. Which verbal skill is used with this statement?
a. Reflection
